|Application to Join
Mensa New Zealand Inc.
I wish to apply to join Mensa NZ Inc.
Mensa New Zealand Inc. will contact me with testing dates available.
I wish to be contacted via:
postal mail / email / fax (please circle one)
Postal Address: (if different from above)
Date of Birth:
How did you hear about “Mensa”?
Please complete this form and send to:
Email: National Testing Officer email@example.com
Post: Mensa New Zealand Inc.
P.O. Box 5765